ORIGINAL RESEARCH article
Front. Nutr.
Sec. Nutritional Epidemiology
Volume 12 - 2025 | doi: 10.3389/fnut.2025.1559694
Knowledge, Attitudes, and Practices Regarding Nutritional Management in Patients with Chronic Obstructive Pulmonary Disease: A Cross-sectional Study in Rural China
Provisionally accepted
- 1Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Yangtze University/The First People’s Hospital of Jing zhou, Jing zhou, China
- 2Integrated Traditional Chinese Medicine and Western Medicine, The First Affiliated Hospital of Yangtze University/The First People’s Hospital of Jing zhou, Jing zhou, China
- 3Pulmonary and Critical Care Medicine, Jian li Hospital of Traditional Chinese Medicine, Jian li, China
- 4Pulmonary and Critical Care Medicine, The Second People's Hospital of Song zi, Song zi, China
- 5The First Affiliated Hospital of Yangtze University, Jingzhou, China
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Introduction: This study aimed to evaluate the knowledge, attitudes, and practices (KAP) of patients with chronic obstructive pulmonary disease (COPD) concerning nutritional management.Methods: A cross-sectional study was conducted between June and August 2024, involving COPD patients from six hospitals in Jingzhou. Demographic information and KAP scores were collected and analyzed using a self-developed questionnaire.Results: A total of 411 valid cases were collected, with a valid response rate of 86.16%. Of the participants, 319 (77.62%) were male, 115 (27.98%) had been diagnosed with COPD for more than 10 years, and 316 (76.89%) had received education on nutritional management. The average scores for knowledge, attitudes, and practices were 7.19±5.13 (range: 0-18), 24.81±4.43 (range: 8-40), and 19.51±5.68 (range: 7-35), respectively. Correlation analysis indicated significant positive relationships between knowledge and attitudes (r = 0.629, P < 0.001), knowledge and practices (r = 0.539, P < 0.001), and attitudes and practices (r = 0.501, P < 0.001). Structural equation modeling revealed that knowledge directly influenced attitudes (β = 0.764, P < 0.001) and practices (β = 0.521, P < 0.001), while attitudes also directly impacted practices (β = 0.409, P < 0.001).Conclusion: Patients with COPD demonstrated inadequate knowledge, negative attitudes, and inactive practices regarding nutritional management, highlighting a significant gap in effective dietary education. To enhance clinical outcomes, healthcare providers should implement targeted educational programs that emphasize the importance of nutritional management for COPD patients.
Keywords: chronic obstructive pulmonary disease, Nutritional management, Knowledge, attitudes, practice, Cross-sectional study, Structural Equation Modeling
Received: 13 Jan 2025; Accepted: 22 Apr 2025.
Copyright: © 2025 Zhang, Xu, Duan, Yi and Luo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Wei Luo, The First Affiliated Hospital of Yangtze University, Jingzhou, China
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